Individual
MR. BRAD DOUGLAS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R), RPA/RA
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(910) 358-3775
Mailing address
4849 CONNECTICUT AVE NW, 1023, WASHINGTON, DC 20008-5853
(910) 358-3775
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
13DC1477
DC
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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